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Biomedical subjects

L I Nemerovskiĭ

Publications and source records attributed to L I Nemerovskiĭ.

At least 19 recordsLinked to original sources

[Intensification of gas exchange in high-frequency artificial ventilation].

Jet high-frequency artificial ventilation produces oscillations of some parts of the chest wall, which in its turn transmits oscillations to the lung parenchyma. It results in the mix-up of the gas in the alveolar space, which leads to the increase in the gradient of oxygen concentration on the alveolar membranes, thus, augmenting oxygen saturation of the blood. The effect is the same when oscillation artificial ventilation is performed, owing to the provocation of the oscillations amplified by the resonance in the natural acoustic circuit, formed by the adjacent parts of the chest and lung parenchyma. Derangement of the exudative adhesion to the bronchi epithelial tissue intensifies gas exchange, when the oscillations are generated in the lungs. It facilitates the removal of the exudate and lets the air into the previously obstructed parts of the lungs. Clinical studies confirm the effect of the increase in the blood oxygenation (by average 20%) at the feeding air column by pneumatic oscillations in the range of 65 Hz, when traditional artificial ventilation is performed.

Acute Disease↗

[Regional pulmonary ventilation in patients with ischemic heart disease].

The state of regional pulmonary ventilation was studied in 41 patients with coronary heart disease (CHD) of various degrees of myocardial affection using pulmophonography. A total degree of ventilation irregularity in the CHD patients did not differ from that of healthy individuals. An increase in this index was noted for the right lung in all the patients. The most noticeable changes of regional pulmonary ventilation were observed in patients with macrofocal cardiosclerosis and consequent cardiac aneurysm, and were expressed in an increase in ventilation of the right lung upper zone and its decrease in the left lung upper zone and in the middle zone of both lungs.

Adult↗